1/10. inflammation of vertebral bone associated with acute calcific tendinitis of the longus colli muscle.We present a case of acute retropharyngeal calcific tendinitis with characteristic findings on radiographic, computed tomography, and magnetic resonance imaging (MRI). To our knowledge, this is the first acute retropharyngeal calcific tendinitis report having inflammation of both the vertebra itself and the longus colli muscle diagnosed on MRI. In patients with neck pain, acute retropharyngeal calcific tendinitis should be kept in mind in the differential diagnosis, even if these patients had vertebral pathological signals on MRI.- - - - - - - - - - ranking = 1keywords = retropharyngeal (Clic here for more details about this article) |
2/10. Osteoarticular complications of erysipelas.BACKGROUND: Rare osteoarticular complications occurring after erysipelas have been reported. We describe 9 patients in whom various osteoarticular complications developed during erysipelas. OBJECTIVE: We sought to analyze osteoarticular complications during erysipelas, paying special attention to clinical, bacteriologic, and radiologic data. methods: Data were retrospectively recorded from the files of patients seen in 3 dermatologic centers between 1998 and 2000. They included laboratory tests, bacteriologic cultures, radiologic investigations, and treatment modalities and outcome of both erysipelas and osteoarticular complications. RESULTS: We observed 9 patients (7 men and 2 women; mean age 49.6 years) who first presented with typical erysipelas of the lower limb and then osteoarticular complications developed during the course of their disease, always localized to a joint contiguous to the erysipelas plaque. These complications included: relatively benign complications, ie, bursitis (n = 5) or algodystrophy (n = 1), occurring after erysipelas with favorable course; and more severe complications, ie, osteitis (n = 1), arthritis (n = 1), and septic tendinitis (n = 1), occurring after erysipelas characterized by local cutaneous complications (abscess, necrosis). CONCLUSIONS: Osteoarticular complications of erysipelas can be divided into the 2 groups of nonseptic complications (mainly bursitis), which are characterized by a favorable outcome, and septic complications (osteitis, arthritis, tendinitis), which require specific, often prolonged treatment and, sometimes, operation. Their diagnosis is on the basis of clinical and radiologic findings rather than joint aspirations, which are usually not possible through infected skin tissue.- - - - - - - - - - ranking = 2.6783138038398E-5keywords = abscess (Clic here for more details about this article) |
3/10. Retropharyngeal calcific tendinitis: case report and review of literature.Retropharyngeal calcific tendinitis, also known as acute calcific prevertebral tendinitis or longus colli tendinitis, is an uncommon benign condition presenting as acute neck pain. Clinically, it can be misdiagnosed as retropharyngeal abscess, traumatic injury, or infectious spondylitis. The diagnosis is made radiographically by an amorphous calcification anterior to C1-C2 and prevertebral soft tissue swelling. We present three cases of this uncommon condition to illustrate the classic findings on plain film, CT, and MRI. Recognition of the pathognomonic imaging appearance allows for easy diagnosis preventing unnecessary tests and treatment.- - - - - - - - - - ranking = 0.39281062059384keywords = retropharyngeal, retropharyngeal abscess, abscess (Clic here for more details about this article) |
4/10. Radiologic case study. Acute calcific retropharyngeal tendinitis.knowledge of the characteristic clinical spectrum and imaging features of this disorder are crucial for a correct diagnosis of this uncommon cause of odynophagia and dysphagia.- - - - - - - - - - ranking = 1.3333333333333keywords = retropharyngeal (Clic here for more details about this article) |
5/10. Retropharyngeal tendinitis: three probable cases with an unusually low epicentre.Retropharyngeal tendinitis is a rare but underdiagnosed disorder. The clinical picture is characterized by increasingly severe pain in the upper neck occurring within 1 or 2 days and with pain aggravated by swallowing and head movements. Acute-phase roentgenograms show substantial soft-tissue swelling anterior to the vertebral bodies, C1 to C4, often accompanied by amorphous calciferous deposition below the anterior tubercle of the atlas. The course is benign, the patient being asymptomatic after 1 or 2 weeks. I briefly describe three cases which were characterized by severe pain in the mid-cervical spine and radiologic findings of soft-tissue swelling anterior to the vertebral bodies, C2-C6. These cases were probably due to acute tendinitis of the longus colli muscle, although located at a lower level than in previously reported cases of retropharyngeal tendinitis.- - - - - - - - - - ranking = 0.33333333333333keywords = retropharyngeal (Clic here for more details about this article) |
6/10. Retropharyngeal calcific tendinitis: report of five cases and review of the literature.Retropharyngeal calcific tendinitis is an inflammation of the longus colli muscle tendon, which is located on the anterior surface of the vertebral column extending from the atlas to the third thoracic vertebra. Five cases of acute retropharyngeal calcific tendinitis seen in the emergency department (ED) over a 15-month period are reported. In addition, a retrospective review of four cases diagnosed as retropharyngeal abscess and admitted to the hospital revealed that two of these cases actually represented retropharyngeal calcific tendinitis. A review of the literature and potential differential diagnoses are presented. For those primary care physicians who must evaluate patients with acute cervical pain, sore throat, or odynophagia, an x-ray study of the neck revealing retropharyngeal calcium deposition should raise the question of the diagnosis of acute retropharyngeal tendinitis. Clinical characteristics of this entity include a painful condition which is treatable and is often mistaken for retropharyngeal abscess, pharyngitis, or peritonsillar abscess. In our opinion, this condition may be more prevalent than the literature suggests.- - - - - - - - - - ranking = 2.0595308535366keywords = retropharyngeal, retropharyngeal abscess, abscess (Clic here for more details about this article) |
7/10. Retropharyngeal tendinitis.We report a case of retropharyngeal tendinitis. A brief review of the literature, as well as extensive differential diagnosis, is presented. Retropharyngeal tendinitis should be a prime diagnostic consideration in patients who present with acute cervical pain, retropharyngeal calcium deposition, and prevertebral soft tissue swelling.- - - - - - - - - - ranking = 0.66666666666667keywords = retropharyngeal (Clic here for more details about this article) |
8/10. Calcific retropharyngeal tendinitis.Calcific retropharyngeal tendinitis is an inflammation of the longus colli muscle tendon which is located on the anterior surface of the vertebral column extending from the atlas to the third thoracic vertebra. The acute inflammatory condition is self-limiting with symptoms consisting of a gradually increasing neck pain often associated with throat pain and difficulty swallowing. The pain is aggravated by head and neck movement. Clinically the condition can be confused with retropharyngeal abscess, meningitis, infectious spondylitis, and post-traumatic muscle spasm. The radiographic features of this condition consist of pre-vertebral soft tissue swelling from C1 to C4 and amorphous calcific density in the longus colli tendon anterior to the body of C2 and inferior to the anterior arch of C1.- - - - - - - - - - ranking = 2.0594772872605keywords = retropharyngeal, retropharyngeal abscess, abscess (Clic here for more details about this article) |
9/10. Acute calcific retropharyngeal tendinitis. Clinical presentation and pathological characterization.Acute calcific retropharyngeal tendinitis is an underrecognized cause of pain and stiffness in the neck associated with odynophagia and retropharyngeal soft-tissue swelling. We report on five patients in whom an initial misdiagnosis of this entity as a retropharyngeal or nasopharyngeal abscess, a neoplasm, or a fracture-dislocation of the cervical spine led to interventions such as admission to the hospital and parenteral administration of antibiotics. An open biopsy was performed in one patient because of a suspected neoplasm. Evaluation of the tissue specimen with routine and polarized light microscopy, scanning electron microscopy, and energy-dispersive spectrometry demonstrated a foreign-body inflammatory response to deposited crystals of hydroxyapatite. In all five patients, the correct diagnosis was established only after retrospective review of the radiographic studies by a physician who was familiar with acute calcific retropharyngeal tendinitis. The computed tomographic findings of acute calcific retropharyngeal tendinitis are distinctive and consist of prevertebral calcification localized to the insertion of an edematous tendon of the longus colli muscle. Symptomatic relief was provided with anti-inflammatory and analgesic medications. The symptoms resolved, without sequelae, within one to two weeks for all of the patients. We hope that an increased awareness of hydroxyapatite deposition in the tendon of the longus colli muscle will result in improved early diagnosis of acute calcific retropharyngeal tendinitis.- - - - - - - - - - ranking = 3.3333601164714keywords = retropharyngeal, abscess (Clic here for more details about this article) |
10/10. Retropharyngeal effusion in acute calcific prevertebral tendinitis: diagnosis with CT and MR imaging.Three patients with the diagnosis of acute calcific prevertebral tendinitis underwent CT or a combination of CT and MR imaging, which showed previously described findings of calcifications within the tendons of the longus colli muscles. In addition, however, we detected a retropharyngeal effusion in all three patients. The importance of this finding lies in the need to differentiate this effusion from retropharyngeal infection.- - - - - - - - - - ranking = 0.66666666666667keywords = retropharyngeal (Clic here for more details about this article) |
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